Individual ProviderWaseem HijaziInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8700 Beverly Blvd, West Hollywood, CA 90048-1804(310) 423-3095(323) 217-9809PECOS EnrollmentBased on the most recent information from CMS, provider Waseem Hijazi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1104662816Provider TypeIndividualFull NameHijazi, WaseemGenderMaleSole ProprietorNoEnumeration Date7/2/2024Last Updated7/2/2024Contact InformationPractice LocationPractice Address8700 Beverly Blvd, West Hollywood, CA 90048-1804Phone(310) 423-3095FaxUnlisted FaxMailing LocationMailing Address364 N San Vicente Blvd Apt A, West Hollywood, CA 90048-1847Phone(323) 217-9809FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense196792California